| NPI | 1235700303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LAW Managing Partner 623-570-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2025-06-04 |